| Bridge To Health Chiropractic Llc | |
|
5920 Ne Ray Cir Suite 140 Hillsboro OR 97124-6429 | |
| (503) 747-6980 | |
| (503) 536-6643 |
| Full Name | Bridge To Health Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5920 Ne Ray Cir, Hillsboro, Oregon |
| Authorized Official Name and Position | Tiffany Schumacher Altilio (OWNER) |
| Authorized Official Contact | 5037476980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Health Chiropractic Llc 5920 Ne Ray Cir Suite 140 Hillsboro OR 97124-6429 Ph: (503) 747-6980 | Bridge To Health Chiropractic Llc 5920 Ne Ray Cir Suite 140 Hillsboro OR 97124-6429 Ph: (503) 747-6980 |
| NPI Number | 1235569492 |
|---|---|
| Provider Enumeration Date | 11/25/2013 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 4688805278 |
|---|---|
| Medicare Enrollment ID | O20140325000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235569492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3926 (Oregon) | Primary |
| Provider Name | Tiffany S Altilio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134353840 PECOS PAC ID: 1951440908 Enrollment ID: I20091203000642 |
| Provider Name | Paul Botner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760790935 PECOS PAC ID: 7719348267 Enrollment ID: I20230731001750 |
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